Transcript HPAI in Indonesia Dr. Elly Sawitri Siregar Coordinator, HPAI Campaign Management Unit Directorate of Animal Health DGLS, MoA H5N1 HIGHLY PATHOGENIC AVIAN INFLUENZA IN INDONESIA: CURRENT.

HPAI in Indonesia
Dr. Elly Sawitri Siregar
Coordinator, HPAI Campaign Management Unit
Directorate of Animal Health
DGLS, MoA
H5N1 HIGHLY PATHOGENIC AVIAN INFLUENZA IN
INDONESIA: CURRENT SITUATION
FAO Rome, 27 - 29 June 2007
Overview
Background
Current HPAI situation
National Strategic Plan for Control
An accelerated approach
Problems encountered
Poultry Numbers
• Total Population
1.5 billion
• Standing population
600m
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Village chicken
Layer
Broiler
Duck
300m (~600m annually)
100m
175m (>1b annually)
35m
(plus others – quail, pigeon, goose…)
Source : Statistik Peternakan (2005)
HPAI Disease Situation
• First identified in late 2003
• 31/33 provinces have confirmed cases (243/444
districts)
• HPAI incidence varies across the country
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Endemic in Java, Sumatra and S Sulawesi
Lower incidence in eastern provinces
Both commercial and village poultry
Chickens, quails and ducks affected
• Human AI cases since 15 June 2005
– 80 fatalities from 100 cases (16 June 07)
– Concentrated around Jakarta and western Java
HPAI detections by district
January - March 2007
HPAI was detected in 122 districts (of 444 districts) in first quarter 2007
Source: The Directorate General of Livestock Services
Location of PDS Interviews
Jan-March 2007
Location of PDS Confirmed
Outbreaks (Jan-March 2007)
2006 - National Strategic Plan
• ‘National Strategic Work Plan for the Progressive Control
of HPAI in Animals 2006-2008’ developed with FAO
assistance
• 9 elements :
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9.
Campaign Management
Enhancement of HPAI Control
Surveillance and epidemiology
Diagnostic laboratory services
Animal quarantine services
Regulation
Communication
R&D
Poultry Industry Restructuring
2006 - National Strategic Plan
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Strategy remains valid
Good progress has been made, particularly
- Management – Komnas, MoA, CMU, RMU, LDCC
- Surveillance – PDS/R, DICs, Prov/District Livestock Services,
Universities – (PDS/R integrated with DSO/MoH - establishment
phase)
- Laboratories – real time PCR at DICs and RIVS
- Communications – coherent programmes, AI village cadre
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But
- Little evidence of HPAI incidence being reduced
- Ongoing human exposure and cases
- Ongoing impact on people, communities, industry...
Proposed: An Accelerated
Control Programme
• A continuum
– Not a change of strategy but an acceleration
• Core Programme
– The existing programme
– Continue to strengthen management, communications, surveillance and
control
• Accelerated Programme
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Aggressively attack high incidence areas (human and poultry)
Risk mitigation
Greater use of vaccination
Modify industry activity, trade patterns, behaviour
• Consultation on 13/14 June
– General consensus from GoI and international experts
– Need to refine and develop a costed operational plan
– But where are the resources to implement?
PHASED IMPLEMENTATION OF
AN ACCELERATED CONTROL PROGRAMME
#5
#8
#8
#7
#6
#4
#1
#3
#2
#8
Avian Influenza Cases
Lower Incidence
Endemic HPAI
Immediate Objectives
1. Protect free areas
2. Eliminate disease from low incidence
areas
3. Reduce incidence in endemic areas
Challenges
• Improve quarantine and public awareness to
protect free areas
• Increase surveillance sensitivity and effective
timely response in low incidence areas
– No vaccination
• Reduce virus transmission in endemic areas
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Early detection and response
Biosecurity of markets, commercial industry, villages
Vaccination
Consistent and rigorous response to outbreaks
Constraints
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Large diverse poultry industry
‘Autonomy era’
Widespread and multiple poultry diseases
Insufficient commitment and resources
Competing priorities
Lack of disease knowledge
Limited understanding of biosecurity and
hygiene
• Commercial industry autonomy
• Outdated legislation